| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Panchayat Name | K.E.CHINNAYYAPALEM |
| VO Name | Indira |
| Application Number | 7655 |
| Policy Holder Name | ETTAMSETTI LATCHABABU |
| Father / Husband Name | BENNAYYADORA |
| Gender | Male |
| Age | 39 |
| Caste | BC |
| Nominee Name | RAJESWARI |
| Nominee Age | 34 |
| Nominee Gender | Female |
| RationCard | WAP040502400484 |
| StreeNo | BC COLONI |
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